Sexual functioning among HIV-infected women
Sexual functioning among HIV-infected women
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DOI：
10.1089/108729103321150809
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发表时间：
2003-02-01
影响因子：
4.9
通讯作者：
Durante, A
中科院分区：
文献类型：
--
作者：
Bova, C;Durante, A
艾滋病毒对性活动和性功能的影响提出了一系列独特的问题。艾滋病毒的传染性、伴侣的暴露、潜在的垂直传播，以及对一些感染艾滋病毒的妇女来说，与非法使用药物有关的问题，都可能影响性行为。很少有研究审查感染艾滋病毒的妇女的性行为，也没有研究艾滋病毒症状、艾滋病毒疾病阶段、生活质量、疾病意义和性功能之间的关系。这项描述性研究调查了101名艾滋病毒血清阳性妇女的性活动，性功能和安全性行为。结果表明，（1）大多数妇女在艾滋病毒检测呈阳性后仍保持性活跃，（2）性功能不因艾滋病毒疾病进展而改变，（3）很少有妇女报告艾滋病毒本身导致其性功能恶化。那些心理健康状况较好、感染艾滋病毒的生活具有更积极意义、生活质量较好、艾滋病毒相关症状较少以及从未使用过注射毒品的妇女的性功能水平较高。需要更加关注性功能，将其作为临床评估的组成部分。艾滋病毒感染妇女的性行为模式需要继续研究，因为我们正在寻找更有效的方法来预防艾滋病毒的二次传播。
The influence of HIV on sexual activity and functioning presents a unique set of issues. HIV transmissibility, partner disclosure, potential vertical transmission and, for some HIV-infected women, problems associated with illicit drug use, may affect sexuality. Few studies have examined HIV-infected women's sexuality and none have studied the relationship between HIV symptoms, HIV illness stage, quality of life, meaning of illness and sexual functioning. This descriptive study examines sexual activity, sexual functioning and safer sex behavior among 101 HIV-seropositive women. Results indicate that (1) the majority of women continue to be sexually active after testing HIV positive, (2) sexual functioning does not change as a result of HIV disease progression, and (3) few women report that HIV itself caused worsening of their sexual functioning. Those women with better mental health, more positive meaning attributed to life with HIV infection, better quality of life, fewer HIV-related symptoms and who never used injection drugs had higher levels of sexual functioning. Greater focus on sexual functioning as an integral part of clinical assessment is needed. Patterns of sexual behavior among HIV-infected women require continued study as we search for more effective means to prevent secondary HIV transmission.